This Simple Cognitive Bias Can Have Serious Consequences

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Do you fall for the $99.99 trick? Even doctors do, and it can impact how patients are treated.

Left-digit bias can lead to flawed decision-making in economics and in medicine.Recently, I became acutely aware and impacted by left-digit. At first, it seemed benign—a few letters and a freebie from the AARP—but then the discriminatory communications began to roll in:"Schedule your screening colonoscopy!""Check your lipid panel!""Time for the shingles vaccine!"

As it turns out, southpaws need take no offense: left-digit bias has nothing at all to do with handedness. Rather, this bias is one that we are all familiar with, whether we realize it or not. It is the tendency to categorize continuous variables based on the left-most digit. For example, our minds trick us into thinking items costing $79.99 are a better deal than those costing $80.00 because when it comes to buying something, a lead “7” is obviously cheaper than “8”.

The study compared CABG rates between those who had just celebrated their 80th birthday with those whose 80th birthday was just around the corner . The two groups were virtually the same age and were identical in terms of baseline characteristics. You probably can guess what the investigators found. The “older” patients were less likely to receive a CABG than their “younger” counterparts , even though the age gap was negligible: 5.3 percent vs. 7.0 percent : P<0.001.

 

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